How to read the money
Income and expense are whole-filing amounts associated with this lobbyist, not personal compensation or an allocated share.
No topic inference: each bill number appears in source LDA issue text assigned to this lobbyist.
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: SAFETY-NET ASSOCIATION OF PENNSYLVANIA · Firm: DEBRUNNER & ASSOCIATES
HR 7145, HR 1 Implementation
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS · Firm: DEBRUNNER & ASSOCIATES
Medicaid State Plan Amendment, HR 1 Implemenatation
Specific issues are shown only where the LDA source assigned them to this lobbyist. Targets apply to the associated filing.
SOLACE INC. via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
Health care navigators, VA Community Care Network
Health care navigators, VA Community Care Network
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
Source: Senate LDA
| MAUI HEALTH SYSTEM |
| 3 |
| 2026 |
| SOUTHCOAST HEALTH SYSTEM | 3 | 2025–2026 |
| POMONA VALLEY HOSPITAL MEDICAL CENTER | 2 | 2026 |
| SAFETY-NET ASSOCIATION OF PENNSYLVANIA | 2 | 2026 |
| NUVANCE HEALTH / HEALTH QUEST | 1 | 2026 |
| YUMA REGIONAL MEDICAL CENTER | 1 | 2026 |
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS · Firm: DEBRUNNER & ASSOCIATES
Medicaid State Plan Amendment, HR1 Implenmentation
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ADVENTIST HEALTH · Firm: DEBRUNNER & ASSOCIATES
HR 7145, HR 1 Implementation
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: SAFETY-NET ASSOCIATION OF PENNSYLVANIA · Firm: DEBRUNNER & ASSOCIATES
HR 7145, HR1 Implementation
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ADVENTIST HEALTH · Firm: DEBRUNNER & ASSOCIATES
HR 7145, HR 1 Implemenatation
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: ADVENTIST HEALTH · Firm: DEBRUNNER & ASSOCIATES
HR 7145 - defining an essential health system, Medicaid DSH, Telehealth, 340B, safety-net hospitals
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: ALLIANCE OF SAFETY-NET HOSPITALS · Firm: DEBRUNNER & ASSOCIATES
Health care extenders - telehealth, Medicaid DSH cuts; 340B; site-neutral payment policy; HR 7145 - defining an essential health system; Medicaid DSH; Telehealth; safety-net hospitals
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: ALLIANCE OF SAFETY-NET HOSPITALS · Firm: DEBRUNNER & ASSOCIATES
Health care extenders - telehealth, Medicaid DSH cuts; 340B; site-neutral payment policy; HR 7145 - defining an essential health system; Medicaid DSH; Telehealth; safety-net hospitals
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: SAFETY-NET ASSOCIATION OF PENNSYLVANIA · Firm: DEBRUNNER & ASSOCIATES
HR 7145, HR1 Implementation
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: SOUTHCOAST HEALTH SYSTEM · Firm: DEBRUNNER & ASSOCIATES
HR 7145, SAMHSA grants, 340B reporting requirements from drug makers, 340B
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: ADVENTIST HEALTH · Firm: DEBRUNNER & ASSOCIATES
HR 7145, HR 1 Implemenatation
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: ALLIANCE OF SAFETY-NET HOSPITALS · Firm: DEBRUNNER & ASSOCIATES
SDP Comment Letter, HR 7145, OPPS Proposed Rule, SDP
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: ALLIANCE OF SAFETY-NET HOSPITALS · Firm: DEBRUNNER & ASSOCIATES
SDP Comment Letter, SDP, HR 7145, OPPS Proposed Rule
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: SAFETY-NET ASSOCIATION OF PENNSYLVANIA · Firm: DEBRUNNER & ASSOCIATES
HR 7145, HR 1 Implementation
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: SOUTHCOAST HEALTH SYSTEM · Firm: DEBRUNNER & ASSOCIATES
HR 7145, SAMHSA grants, 340B, 340B reporting requirements from drug makers
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: ADVENTIST HEALTH · Firm: DEBRUNNER & ASSOCIATES
HR 7145 - defining an essential health system, Medicaid DSH, Telehealth, 340B, safety-net hospitals
To amend title XIX of the Social Security Act to establish a definition of essential health system in statute and for other related purposes.
Client: ADVENTIST HEALTH · Firm: DEBRUNNER & ASSOCIATES
HR 7145, HR 1 Implementation
HR9468 Star Act
HR 9468 Star Act
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ADVENTIST HEALTH · Firm: DEBRUNNER & ASSOCIATES, INC.
Medicaid Provider Taxes, HR 1, Medicaid DSH, telehealth, health care extenders, PAYGO, Expanded Premium Tax Credits, Safety-Net Hospitals, Maternity Care, FEMA reimbursement
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: ADVENTIST HEALTH · Firm: DEBRUNNER & ASSOCIATES, INC.
Medicaid Provider Taxes, HR 1, Medicaid DSH, telehealth, health care extenders, PAYGO, Expanded Premium Tax Credits, Safety-Net Hospitals, Maternity Care, FEMA reimbursement
An act to provide for reconciliation pursuant to title II of H. Con. Res. 14.
Client: PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS · Firm: DEBRUNNER & ASSOCIATES, INC.
Medicaid Provider taxes, HR 1, PAYGO, Reconciliation, Medicaid DSH, Telehealth, Health Care Extenders, Expanded Premium Tax Credits, Safety-Net Hospitals
2026 · third_quarter · Q3
Payment Smoothing for medical bills; cost-smoothing; medical bill smoothing
Payment smoothing for medical bills
Filing targets: HOUSE OF REPRESENTATIVES
ADVENTIST HEALTH via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
HR 7145, HR 1 Implementation
HR 7145, HR 1 Implemenatation
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ALLIANCE OF SAFETY-NET HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
SDP Comment Letter, HR 7145, OPPS Proposed Rule, SDP
SDP Comment Letter, SDP, HR 7145, OPPS Proposed Rule
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, SENATE
MAUI HEALTH SYSTEM via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
FY26 Congressionally Directed Spending; REH, Residency Program
FY2026 Congressionally Directed Spending; REH, Residency Program
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
COALITION OF LONG TERM ACUTE CARE HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
HR 9468 Star Act
HR9468 Star Act
Filing targets: HOUSE OF REPRESENTATIVES
POMONA VALLEY HOSPITAL MEDICAL CENTER via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
Medicare Final Settlement
Filing targets: HOUSE OF REPRESENTATIVES
SAFETY-NET ASSOCIATION OF PENNSYLVANIA via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
HR 7145, HR1 Implementation
HR 7145, HR 1 Implementation
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
SOUTHCOAST HEALTH SYSTEM via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
HR 7145, SAMHSA grants, 340B, 340B reporting requirements from drug makers
HR 7145, SAMHSA grants, 340B reporting requirements from drug makers, 340B
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · third_quarter · Q3
Medicaid State Plan Amendment, HR 1 Implemenatation
Medicaid State Plan Amendment, HR1 Implenmentation
Filing targets: HOUSE OF REPRESENTATIVES
NORTHWELL FKA NUVANCE HEALTH/HEALTH QUEST via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
FY27 Congressionally directed spending
FY27 Congressionally directed spending
Filing targets: SENATE
SOLACE INC. via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
Health care navigators
Health care navigators
Filing targets: HOUSE OF REPRESENTATIVES, SENATE, Veterans Affairs, Dept of (VA)
PAYTIENT TECHNOLOGIES INC. via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
Payment Smoothing for medical bills; cost-smoothing; medical bill smoothing
Payment Smoothing for medical bills; cost-smoothing; medical bill smoothing
Filing targets: HOUSE OF REPRESENTATIVES, White House Office
ADVENTIST HEALTH via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
Safety-net hospital definition; site-neutral payment policy; 340B; rural health care; workforce Safety-net hospitals; Medicaid eligibility; Work Requirements; site-neutral payment policies; FEMA reimbursement for COVID; Alternative Payment Models
Safety-net hospital definition; site-neutral payment policy; 340B; rural health care; workforce Safety-net hospitals; Medicaid eligibility; Work Requirements; site-neutral payment policies; FEMA reimbursement for COVID; Alternative Payment Models
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS), SENATE
ALLIANCE OF SAFETY-NET HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
340B Rebate Model Pilot Program; Hospital Reporting; Proposed IPPS Regulation
340B Rebate Model Pilot Program; Hospital Reporting; Proposed IPPS Regulation
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA)
MAUI HEALTH SYSTEM via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
FY2026 Congressionally Directed Spending; FY 27 Community Project Funding; Rural Hospital Revitalization Act; FY26 CDS Grants
FY26 Congressionally Directed Spending; FY27 Community Project Funding; Rural Hospital Revitalization Act; FY26 CDS Grants
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
COALITION OF LONG TERM ACUTE CARE HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
LTCH legislative relief; Propspective IPPS Regulation
LTCH legislative relief; Prospective IPPS Regulation
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES
POMONA VALLEY HOSPITAL MEDICAL CENTER via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
Medicare Final Settlement
Filing targets: HOUSE OF REPRESENTATIVES
PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · second_quarter · Q2
Medicaid supplemental payments, Safety-net hospitals; Medicaid state directed payments; Medicaid eligibility; Work requirements; site-neutral payment policies; Medicaid provider taxes
Medicaid supplemental payments, Safety-net hospitals; Medicaid state directed payments; Medicaid eligibility; Work requirements; site-neutral payment policies; Medicaid provider taxes
Filing targets: HOUSE OF REPRESENTATIVES
ONVIDA HEALTH FKA YUMA REGIONAL MEDICAL CENTER via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
FY2027 Labor-HHS appropriations
FY2027 Labor-HHS appropriations
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
SOLACE INC. via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
care coordination for veterans; Veterans affairs; Medicare navigators
care coordination for veterans; Veterans affairs; Medicare navigators
care coordination for veterans; Veterans affairs; Medicare navigators
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
PAYTIENT TECHNOLOGIES INC. via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
Health care affordability, M3P program
Health care affordability, M3P program
Filing targets: HOUSE OF REPRESENTATIVES
ADVENTIST HEALTH via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
HR 7145 - defining an essential health system, Medicaid DSH, Telehealth, 340B, safety-net hospitals
HR 7145 - defining an essential health system, Medicaid DSH, Telehealth, 340B, safety-net hospitals
Filing targets: HOUSE OF REPRESENTATIVES
ALLIANCE OF SAFETY-NET HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
Health care extenders - telehealth, Medicaid DSH cuts; 340B; site-neutral payment policy; HR 7145 - defining an essential health system; Medicaid DSH; Telehealth; safety-net hospitals
Health care extenders - telehealth, Medicaid DSH cuts; 340B; site-neutral payment policy; HR 7145 - defining an essential health system; Medicaid DSH; Telehealth; safety-net hospitals
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
MAUI HEALTH SYSTEM via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
weather recovery; Congressionally Directed Spending, Community Funding Projects; FY 2027 Labor-HHS appropriations, FY 2026 Labor-HHS appropriations - HRSA application
weather recovery; Congressionally Directed Spending, Community Funding Projects; FY 2027 Labor-HHS appropriations, FY 2026 Labor-HHS appropriations - HRSA application
Filing targets: HOUSE OF REPRESENTATIVES, Health Resources & Services Administration (HRSA), SENATE
COALITION OF LONG TERM ACUTE CARE HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
LTCH payment policy, 25-day length of stay
LTCH payment policy, 25-day length of stay
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES
SAFETY-NET ASSOCIATION OF PENNSYLVANIA via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
Medicaid DSH; Telehealth; Health care extenders; Medicaid DSH cuts; site-neutral payment policy
Medicaid DSH; Telehealth; Health care extenders; Medicaid DSH cuts; site-neutral payment policy
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
SOUTHCOAST HEALTH SYSTEM via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
Introductions; Health Care Extenders; Site Neutral Payments; 340B;
Introductions; Health Care Extenders; Site Neutral Payments; 340B;
Filing targets: SENATE
PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS via DEBRUNNER & ASSOCIATES
2026 · first_quarter · Q1
Health care extenders - telehealth, Medicaid DSH cuts; site-neutral payment policy; Medicaid DSH; safety-net hospitals; Medicaid provider taxes; OBBBA, Medicaid eligibility; Medicaid supplemental payments
Health care extenders - telehealth, Medicaid DSH cuts; site-neutral payment policy; Medicaid DSH; safety-net hospitals; Medicaid provider taxes; OBBBA, Medicaid eligibility; Medicaid supplemental payments
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
PAYTIENT TECHNOLOGIES INC. via DEBRUNNER & ASSOCIATES, INC.
2025 · fourth_quarter · Q4
Paytient affordability, Out of pocket smoothing with QHPs, ACA Marketplaces & exchanges, Medicare Prescription Payment Program
Paytient affordability, Out of pocket smoothing with QHPs, ACA Marketplaces & exchanges, Medicare Prescription Payment Program
Filing targets: Centers For Medicare and Medicaid Services (CMS), HOUSE OF REPRESENTATIVES, Health & Human Services, Dept of (HHS)
ADVENTIST HEALTH via DEBRUNNER & ASSOCIATES, INC.
2025 · fourth_quarter · Q4
HQAF 9; PAYGO; Medicaid DSH, telehealth, health care extenders; Expanded Premium Tax Credits; Safety-Net Hospitals; OPPS Rule;
HQAF 9; PAYGO; Medicaid DSH, telehealth, health care extenders; Expanded Premium Tax Credits; Safety-Net Hospitals; OPPS Rule;
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
ALLIANCE OF SAFETY-NET HOSPITALS via DEBRUNNER & ASSOCIATES, INC.
2025 · fourth_quarter · Q4
Medicaid DSH, PAYGO; enhanced premium tax credits, safety-net hospitals
Medicaid DSH, PAYGO; enhanced premium tax credits, safety-net hospitals
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
COALITION OF LONG TERM ACUTE CARE HOSPITALS via DEBRUNNER & ASSOCIATES, INC.
2025 · fourth_quarter · Q4
LTCH Payment Policy
LTCH Payment Policy
Filing targets: HOUSE OF REPRESENTATIVES
SOUTHCOAST HEALTH SYSTEM via DEBRUNNER & ASSOCIATES, INC.
2025 · fourth_quarter · Q4
Medicaid and Medicare reimbursements; 340B
Medicaid and Medicare reimbursements; 340B
Filing targets: SENATE
PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS via DEBRUNNER & ASSOCIATES, INC.
2025 · fourth_quarter · Q4
HQAF 9; PAYGO; Medicaid DSH, telehealth, health care extenders; Expanded Premium Tax Credits; Safety-Net Hospitals, Medicaid provider taxes
HQAF 9; PAYGO; Medicaid DSH, telehealth, health care extenders; Expanded Premium Tax Credits; Safety-Net Hospitals, Medicaid provider taxes
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
SOLACE INC. via DEBRUNNER & ASSOCIATES, INC.
2025 · fourth_quarter · RR
Health care finances
Health care finances
ADVENTIST HEALTH via DEBRUNNER & ASSOCIATES, INC.
2025 · third_quarter · Q3
Medicaid Provider Taxes, HR 1, Medicaid DSH, telehealth, health care extenders, PAYGO, Expanded Premium Tax Credits, Safety-Net Hospitals, Maternity Care, FEMA reimbursement
Medicaid Provider Taxes, HR 1, Medicaid DSH, telehealth, health care extenders, PAYGO, Expanded Premium Tax Credits, Safety-Net Hospitals, Maternity Care, FEMA reimbursement
Filing targets: HOUSE OF REPRESENTATIVES, SENATE
PRIVATE ESSENTIAL ACCESS COMMUNITY HOSPITALS via DEBRUNNER & ASSOCIATES, INC.
2025 · third_quarter · Q3
Medicaid Provider taxes, HR 1, PAYGO, Reconciliation, Medicaid DSH, Telehealth, Health Care Extenders, Expanded Premium Tax Credits, Safety-Net Hospitals
Medicaid DSH cuts, telehealth extension, hospital at home program, Medicare physician payments, reconciliation, Provider taxes, FMAP, safety-net definition
Filing targets: HOUSE OF REPRESENTATIVES, SENATE